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MS. DEANNA MARIE LIPSCOMB PA-C
NPI 1194960955
Physician Assistant in Latham, NY

Active since December 09, 2008
1 PEPSI COLA DR, JHU HEALTH AND WELLNESS CENTER, LATHAM, NY 12110(518) 782-2479 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Jul 12, 2016 (2 updates tracked since 2016).

About Ms. Deanna Marie Lipscomb Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEANNA MARIE LIPSCOMB PA-C (NPI 1194960955) is an individual physician assistant in Latham, New York, licensed in New York (012912) and active in the NPI registry since December 2008. She maintains a secondary practice location in Schenectady.

NPPES Registry Identity

NPI1194960955
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. DEANNA MARIE LIPSCOMBCredential: PA-C
Location Address1 PEPSI COLA DR, JHU HEALTH AND WELLNESS CENTERLatham, NY 12110-2306
Mailing Address1 Pepsi Cola DrLatham, NY 12110-2306 · (518) 782-2479 · Fax (518) 783-2634
Phone(518) 782-2479
Sole ProprietorNo
Enumeration DateDecember 9, 2008
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1194960955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 012912
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 PEPSI COLA DR, Latham, NY 12110
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Secondary Practice Location 1

Location 11 River Rd Bldg 43-2Schenectady, NY 12345-6000 · Phone (518) 385-7011

Other Identifiers 1

Medicaid03524747NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deanna Lipscomb's NPI number?

The NPI number for Deanna Lipscomb is 1194960955. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Where is Deanna Lipscomb located?

Deanna Lipscomb practices at 1 Pepsi Cola Dr Jhu Health And Wellness Center, Latham, NY 12110. The listed phone number is (518) 782-2479.

What is Deanna Lipscomb's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Deanna Lipscomb was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.